THE LOS ANGELES FREE CLINIC - MOBILE CLINIC
NPI: 1114668647
· LOS ANGELES, CA 90028
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/06/2022
$743K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: NOUWEZEM, MURIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
704 |
$135K |
| 2023 |
1,846 |
$339K |
| 2024 |
1,409 |
$270K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,123 |
1,848 |
$593K |
| 00003 |
Internal/system code - not a standard HCPCS code |
448 |
434 |
$149K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
435 |
409 |
$586.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
461 |
419 |
$216.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
399 |
$187.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
37 |
$36.20 |